Organization Active NPI

Lubbock Hand Therapy PLLC

  • Occupational Therapy Assistant
  • Lubbock, TX
National Provider Identifier
1891845376
Registry record updated Dec 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
Legal business name
LUBBOCK HAND THERAPY PLLC
Practice address
6310 Genoa Ave Ste G
Lubbock, TX 79424-2708
Phone
(806) 771-7451
Fax
(806) 771-7451
NPI assigned
Jan 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
June Marie Fennerty, OTR, CHTNPI 1558350017
Title
Therapist-Owner
Phone
(806) 777-8605

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 224Z00000X Primary

Addresses

Primary practice location

6310 Genoa Ave Ste G
Lubbock, TX 79424-2708

Mailing address

PO Box 64240
Lubbock, TX 79464-4240
Phone (806) 771-7451

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150504000267 TX Part B Supplier - Clinic/Group Practice 9739408329 Receives reassigned benefits from 1 practitioner
Practice locations: Lubbock, TX

National Provider Directory

National Provider Directory

Locations

6310 Genoa Ave
Lubbock, TX 79424
Phone (806) 855-3050

6310 Genoa Ave
Ste G
Lubbock, TX 79424
Phone (806) 771-7451

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577059200000",
    "number": "1891845376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64240",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794644240",
            "telephone_number": "806-771-7451",
            "fax_number": "806-771-7448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6310 GENOA AVE STE G",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242708",
            "telephone_number": "806-771-7451",
            "fax_number": "806-771-7451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUBBOCK HAND THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A",
        "authorized_official_last_name": "FENNERTY",
        "authorized_official_first_name": "JUNE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "THERAPIST-OWNER",
        "authorized_official_telephone_number": "806-777-8605",
        "authorized_official_credential": "OTR, CHT"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.